Sonographic cervical length as a predictor of type of delivery after induced labor

Abstract

Our study suggests that both Bishop score and sonographic cervical length can contribute to predicting type of delivery after labor induction, but cervical length is a better predictor of the risk of cesarean delivery.

The role of sonographic cervical length in labor induction at term

“…They too conclude, with a CL cutoff of 30 mm, that sonography is an important tool in predicting failed IOL . In 2012, Gómez‐Laencina et al also conducted a study supporting the notion that sonographic cervical assessment is useful in predicting IOL outcome, but that its role may be limited to unfavorable cervices …”

“…25 In 2012, G omez-Laencina et al also conducted a study supporting the notion that sonographic cervical assessment is useful in predicting IOL outcome, but that its role may be limited to unfavorable cervices. 26 As noted by Park et al, both Tan et al and Meijer-Hoogeveen et al raise the issue of parity in their studies. 27,28 Tan et al claim that sonographic CL may be superior to the Bishop score for assessing outcome of IOL in nulliparas only.…”

Value of Bishop score and ultrasound cervical length measurement in the prediction of cesarean delivery

“…As these are not risk‐free interventions and might have increased costs, it is necessary to outline strategies for the improvement of the success rate of induced deliveries. One possibility would be indentifying women in whom labor induction is more likely to be successful, using clinical or ultrasound evaluation of the cervix prior to induction …”

An ultrasound prediction model for probability of vaginal delivery in induction of labor

“…[17] To overcome this limitation, a number of researchers have studied accuracy of one or more ultrasound parameters either alone or in combination with Bishop score and/or maternal characteristics for prediction of successful induction of labor. [6,10,[13][14][15][18][19][20] However, none of these have so far gained widespread acceptability and clinical application because of conflicting results. The five parameters of ultrasound scoring system proposed by us have individually shown to have good accuracy in various studies.…”